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Scope Treatment Of Scarring At The Bladder Outlet

South Dakota rates for HCPCS 52640

A scope is passed along the urethra to the bladder outlet, where scar tissue that formed after earlier surgery has narrowed the opening. The scar is cut or shaved away so urine can flow freely again. Nothing is cut on the outside, as all the work is done through the natural passage.

Rates data updated October 2026.

How much does Scope Treatment Of Scarring At The Bladder Outlet cost?

$2,255

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $2,255 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $1,514 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$525 to $759
Facility feeThe hospital or surgery center$1,514$603 to $1,820

How much rates vary

Facilitymedian $1,514 · 10th to 90th $479 to $2,344Professionalmedian $741 · 10th to 90th $347 to $891
$500$1K$2Kfacility $1,514professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$316.23
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$1,778.28
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$758.58
Typical High
$954.99
Medica
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$776.25
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$851.14
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Midlands
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,778.28
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$537.03
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$794.33
Typical High
$891.25
Wellmark
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$741.31
Typical High
$741.31

Where South Dakota sits

The same service costs 6.3 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

South Dakota· 33rd of 51

$2,255

$741 physician + $1,514 facility

CO $6,515MT $1,038

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.